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Clinical application of three-dimensional printing to the management of complex univentricular hearts with abnormal systemic or pulmonary venous drainage*

Published online by Cambridge University Press:  06 February 2017

Eimear McGovern ,
Eoin Kelleher ,
Aisling Snow ,
Kevin Walsh ,
Bassem Gadallah ,
Shelby Kutty ,
John M. Redmond  and
Colin J. McMahon
Eimear McGovern
Affiliation:
Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
Eoin Kelleher
Affiliation:
Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
Aisling Snow
Affiliation:
Department of Radiology, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
Kevin Walsh
Affiliation:
Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
Bassem Gadallah
Affiliation:
Department of Cardiothoracic Surgery, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
Shelby Kutty
Affiliation:
Departments of Cardiology and Pediatric Cardiology, Division of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska, United States of America
John M. Redmond
Affiliation:
Department of Cardiothoracic Surgery, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
Colin J. McMahon*
Affiliation:
Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland
*
Correspondence to: Dr C. J. McMahon, MBBCh, FACC, Cardiac Department, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland. Tel: +353 1 409 6160; Fax: +353 1 409 6181; E-mail: cmcmahon992004@yahoo.com
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Abstract

In recent years, three-dimensional printing has demonstrated reliable reproducibility of several organs including hearts with complex congenital cardiac anomalies. This represents the next step in advanced image processing and can be used to plan surgical repair. In this study, we describe three children with complex univentricular hearts and abnormal systemic or pulmonary venous drainage, in whom three-dimensional printed models based on CT data assisted with preoperative planning. For two children, after group discussion and examination of the models, a decision was made not to proceed with surgery. We extend the current clinical experience with three-dimensional printed modelling and discuss the benefits of such models in the setting of managing complex surgical problems in children with univentricular circulation and abnormal systemic or pulmonary venous drainage.

Keywords

3D printinganatomical modelspreoperative planning
Type
Original Articles
Information
Cardiology in the Young , Volume 27 , Issue 7 , September 2017 , pp. 1248 - 1256
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Copyright
© Cambridge University Press 2017 

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Footnotes

*

This study was presented by Dr McMahon at the World Materialise Conference in Brussels on 23 April, 2015.

References

1. Schmauss, D, Schmitz, C, Bigdeli, AK, et al. Three dimensional printing of models for preoperative planning and simulation of transcatheter valve replacement. Ann Thorac Surg 2012; 93: e31–e33.Google Scholar
2. Schmauss, D, Gerber, N, Sodian, R. Three dimensional printing of models for surgical planning in patients with primary cardiac tumors. J Thorac Cardiovasc Surg 2013; 145: 1407–1408.Google Scholar
3. Kim, MS, Hansgen, AR, Wink, O, Quaife, RA, Carroll, JD. Rapid prototyping: a new tool in understanding and treating structural heart disease. Circulation 2008; 117: 2388–2394.Google Scholar
4. Kim, MS, Hansgen, AR, Carroll, JD. Use of rapid prototyping in the care of patients with structural heart disease. Trends Cardiovasc Med 2008; 18: 210–216.Google Scholar
5. Sodian, R, Weber, S, Markert, M, et al. Stereolithographic models for surgical planning in congenital heart disease. Ann Thorac Surg 2007; 83: 1854–1857.Google Scholar
6. Mottl-Link, S, Hubler, M, Kuhne, T, et al. Physical models aiding in complex heart surgery. Ann Thorac Surg 2008; 86: 273–277.Google Scholar
7. Ngan, EM, Rebeyka, IM, Ross, DB, et al. The rapid prototyping of anatomic models in pulmonary atresia. J Thorac Cardiovasc Surg 2006; 132: 264–269.CrossRefGoogle ScholarPubMed
8. Jacobs, S, Grunert, R, Mohr, FW, Falk, V. 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg 2008; 7: 6–9.Google Scholar
9. Schievano, S, Migliavacca, F, Coats, L, et al. Percutaneous pulmonary valve implantation based on rapid prototyping of right ventricular outflow tract and pulmonary trunk from MR data. Radiology 2007; 242: 490–497.CrossRefGoogle ScholarPubMed
10. Noecker, AM, Chen, JF, Zhou, Q, et al. Development of patient-specific three-dimensional pediatric cardiac models. ASAIO J 2006; 52: 349–353.Google Scholar
11. Shiraishi, I, Yamagishi, M, Hamaoka, K, Fukuzawa, M, Yagihara, T. Simulative operation on congenital heart disease using rubber-like urethane stereolithographic biomodels based on 3D datasets of multislice computed tomography. Eur J Cardiothorac Surg 2010; 37: 302–306.Google Scholar
12. McElhinney, DB, Marx, GR, Marshall, AC, Mayer, JE, del Nido, PJ. Cavopulmonary pathway modification in patients with heterotaxy and newly diagnosed or persistent arteriovenous malformations after a modified Fontan operation. J Thorac Cardiovasc Surg 2011; 141: 1362–1370.Google Scholar
13. Valverde, I, Gomez, G, Gonzalez, A, et al. Three-dimensional patient-specific cardiac model for surgical planning in Nikaidoh procedure. Cardiol Young 2015; 25: 698–704.Google Scholar
14. Olivieri, L, Krieger, A, Chen, MY, Kim, P, Kanter, JP. 3D heart model guides complex stent angioplasty of pulmonary venous baffle obstruction in a Mustard repair of D-TGA. Int J Cardiol 2014; 172: e297–e298.Google Scholar
15. Dankowski, R, Baszko, A, Sutherland, M, et al. 3D heart model printing for preparation of percutaneous structural interventions: description of the technology and case report. Kardiol Pol 2014; 72: 546–551.Google Scholar
16. Valverde, I, Gomez, G, Coserria, JF, et al. 3D printed models for planning endovascular stenting in transverse aortic arch hypoplasia. Catheter Cardiovasc Interv 2015; 85: 1006–1012.CrossRefGoogle ScholarPubMed
17. Biglino, G, Verschueren, P, Zegels, R, Taylor, AM, Schievano, S. Rapid prototyping compliant arterial phantoms for in-vitro studies and device testing. J Cardiovasc Magn Reson 2013; 15: 2.CrossRefGoogle ScholarPubMed
18. Zhang, X, Zhang, Y. Tissue engineering applications of three-dimensional bioprinting. Cell Biochem Biophys 2015; 72: 777–782.Google Scholar
19. Maragiannis, D, Jackson, MS, Igo, SR, Chang, SM, Zoghbi, WA, Little, SH. Functional 3D printed patient-specific modeling of severe aortic stenosis. J Am Coll Cardiol 2014; 64: 1066–1068.Google Scholar
20. Olivieri, LJ, Krieger, A, Loke, YH, Nath, DS, Kim, PC, Sable, CA. Three-dimensional printing of intracardiac defects from three-dimensional echocardiographic images: feasibility and relative accuracy. J Am Soc Echocardiogr 2015; 28: 392–397.Google Scholar